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Prisma Health-Midlands

Organization Active NPI General Acute Care Hospital · Columbia, SC

NPI 1154197846 · NPPES record last updated Dec 4, 2023

Key facts

NPI
1154197846
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
Legal business name
PRISMA HEALTH-MIDLANDS
Practice address
7 Richland Medical Park Dr Ste 215
Columbia, SC 29203-6863
Phone
(803) 434-3533
Fax
(803) 434-3094
NPI assigned
Dec 4, 2023
Organization subpart
No

Authorized official

Name
Polly H. Miller
Title
SVP Finance, Enterprise Contracting
Phone
(864) 522-2286

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Affiliated clinicians 1,367

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,367

Medicare Care Compare: Hospital

Listed as
Prisma Health Richland Hospital CCN 420018
Overall star rating
★★★☆☆ 3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC

Hospital certification: CCN 420018

Legal name
PRISMA HEALTH-MIDLANDS
Doing business as
PRISMA HEALTH RICHLAND HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 28, 2019
Beds
649
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Feb 8, 1998 in SC
Enrollment address
5 Richland Medical Park Dr
Columbia, SC 29203-6863
Main/Primary Hospital Location
Hospital subgroups
Acute care

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kristi a Lawrence
Individual 		W-2 Managing Employee
Director, Provider Enrollment & Cvo		 Apr 5, 2020
Polly H Miller
Individual 		Corporate Officer
SVP-Fin Enterprise Payor Contractin		 Mar 20, 2020
W-2 Managing Employee
SVP-Fin Enterprise Payor Contractin		 Mar 20, 2020
Prisma Health-Midlands
Organization · Columbia, SC
Non-profit 		5% Or Greater Direct Ownership Interest Jan 7, 2013 100%
Other Jan 7, 2013

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080111000577 SC Part a Provider - Hospital 6800708330 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbia, SC; Irmo, SC; Lexington, SC; Winnsboro, SC; Chapin, SC

National Provider Directory

Tax ID family
Markowitz and Associates (105 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Yes

Addresses

Primary practice location

7 Richland Medical Park Dr Ste 215
Columbia, SC 29203-6863

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other names

  • Prisma Health Pediatric Hematology/Oncology Doing business as

Other providers in Columbia, SC

All providers in Columbia, SC · General Acute Care Hospital in South Carolina

Sources for this page

Verify at the official NPI Registry.